Individual provider · Type 1 NPI

Aeriell B. Tallie, MA

Mental Health Counselor · Starkville, MS

NPI number 1902573140 Active

Practice location

302 N Jackson St
Starkville, MS 39759-2504

Mailing address

241 Northwood Forest Rd
West Point, MS 39773-9089

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902573140

Aeriell B. Tallie, MA's National Provider Identifier is 1902573140, issued on Aug 25, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Starkville, MS. The record was last updated on Aug 26, 2021.